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氟烷对山羊低氧和高碳酸血症通气反应的影响。

Effect of halothane on hypoxic and hypercapnic ventilatory responses of goats.

作者信息

Koh S O, Severinghaus J W

机构信息

Department of Anesthesia, University of California, San Francisco 94143-0542.

出版信息

Br J Anaesth. 1990 Nov;65(5):713-7. doi: 10.1093/bja/65.5.713.

Abstract

We have measured the ventilatory responses to increased inspired carbon dioxide and to hypoxia in four goats awake and at 0.5%, 1.0% and 1.25% end-tidal halothane concentration. While maintaining PE'CO2 constant at each of three values (means 5.86, 6.45 and 7.2 kPa), PE'O2 was reduced rapidly from more than 25 kPa to 5.3-6 kPa for 3 min to record the increase in ventilation. Eleven sets of these 24 steady state points were obtained (2 PO2 x 3 PCO2 x 4 anaes. = 24). The mean isocapnic hypoxic ventilatory response (HVR) was 6.52 (SD 2.58) litre min-1 (n = 33) when awake, 5.62 (3.48) litre min-1 at 0.5% end-tidal halothane (ns), 3.05 (2.02) litre min-1 at 1% and 2.91 (2.12) litre min-1 at 1.25%, the last two being reduced significantly from awake and 0.5% halothane (P less than 0.05). With 1.25% halothane, HVR was reduced to 44.5 (18.6)% of the awake HVR. However, when HVR was expressed as % increase in ventilation produced by isocapnic hypoxia, it was 71 (19)% awake but 124 (65)% with 1.25% halothane, a significant increase with halothane (P less than 0.05). With 1.25% halothane, the carbon dioxide response slope decreased to 36.4 (26.4)% of control; hypoxia did not increase the slope significantly. Whereas previous studies in man have shown that halothane preferentially depresses hypoxic chemosensitivity and has a significant effect at 0.1 MAC, in the goat the hypoxic and carbon dioxide chemosensitivities were depressed equally. At 0.5% end-tidal concentration (about 0.5 MAC), halothane did not significantly depress hypoxic response.

摘要

我们测量了4只清醒山羊以及呼气末氟烷浓度分别为0.5%、1.0%和1.25%时,吸入二氧化碳增加及低氧情况下的通气反应。在将呼气末二氧化碳分压(PE'CO2)维持在三个值(均值分别为5.86、6.45和7.2 kPa)中的每一个值不变时,呼气末氧分压(PE'O2)在3分钟内从超过25 kPa迅速降至5.3 - 6 kPa,以记录通气量的增加。获得了这24个稳态点的11组数据(2个氧分压×3个二氧化碳分压×4种麻醉状态 = 24)。清醒时,平均等碳酸血症低氧通气反应(HVR)为6.52(标准差2.58)升/分钟(n = 33);呼气末氟烷浓度为0.5%时,HVR为5.62(3.48)升/分钟(无显著差异);1%时为3.05(2.02)升/分钟;1.25%时为2.91(2.12)升/分钟,后两者与清醒时及0.5%氟烷时相比显著降低(P小于0.05)。在1.25%氟烷时,HVR降至清醒时的44.5(18.6)%。然而,当HVR以等碳酸血症低氧引起的通气增加百分比表示时,清醒时为71(19)%,而1.25%氟烷时为124(65)%,氟烷使其显著增加(P小于0.05)。在1.25%氟烷时,二氧化碳反应斜率降至对照值的36.4(26.4)%;低氧未显著增加该斜率。尽管先前对人类的研究表明,氟烷优先抑制低氧化学敏感性,且在0.1 MAC时有显著影响,但在山羊中,低氧和二氧化碳化学敏感性受到同等程度的抑制。在呼气末浓度为0.5%(约0.5 MAC)时,氟烷未显著抑制低氧反应。

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